Awake Unilateral Biportal Endoscopic Decompression Under Local Anesthesia for Degenerative Lumbar Spinal Stenosis in the Elderly: A Feasibility Study with Technique Note
(Source: Clinical Interventions in Aging)
Source: Clinical Interventions in Aging - January 6, 2024 Category: Geriatrics Tags: Clinical Interventions in Aging Source Type: research

Full-endoscopic versus microscopic spinal decompression for lumbar spinal stenosis: a systematic review & meta-analysis
Symptomatic lumbar spinal stenosis is routinely treated with spinal decompression surgery, with an increasing trend towards minimally invasive techniques. Endoscopic decompression has emerged as a technique which minimizes approach-related morbidity while achieving similar clinical outcomes to conventional open or microscopic approaches. (Source: The Spine Journal)
Source: The Spine Journal - January 6, 2024 Category: Orthopaedics Authors: Brian Zhaojie Chin, Jung Hahn Yong, Eugene Wang, Seth Ian Sim, Shuxun Lin, Pang Hung Wu, Hwee Weng Dennis Hey Tags: Systematic Review / Meta-Analysis Source Type: research

Global Trends and Hotspots of Minimally Invasive Surgery in Lumbar Spinal Stenosis: A Bibliometric Analysis
(Source: Journal of Pain Research)
Source: Journal of Pain Research - January 5, 2024 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Posterior Lateral Arthrodesis as a Treatment Option for Lumbar Spinal Stenosis: Safety and Early Clinical Outcomes
(Source: Journal of Pain Research)
Source: Journal of Pain Research - January 5, 2024 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Comment on the article by Wang et al.: Clinical outcome of percutaneous endoscopic lumbar decompression in treatment of elderly patients with lumbar spinal stenosis: a matched retrospective study
(Source: International Orthopaedics)
Source: International Orthopaedics - January 1, 2024 Category: Orthopaedics Source Type: research

Artificial intelligence-based analysis of associations between learning curve and clinical outcomes in endoscopic and microsurgical lumbar decompression surgery
ConclusionsA median of 72 cases of FED surgeries led to comparable clinical outcomes in the early learning curve phase compared to experienced surgeons. These outcomes seem to be more significantly affected by patient characteristics than the learning curve or the surgical technique. Several study variables, including the learning curve, can be used to predict whether lumbar decompression surgery will result in an increased LOS, OT, or complications. To introduce the provided prediction tools into clinics, the algorithms need to be implemented into open-source software and externally validated through large-scale randomize...
Source: European Spine Journal - December 29, 2023 Category: Orthopaedics Source Type: research

Utility of MRI-based vertebral bone quality scores and CT-based Hounsfield unit values in vertebral bone mineral density assessment for patients with diffuse idiopathic skeletal hyperostosis
ConclusionDXA-based T-scores may overestimate BMD in DISH. VBQ scores and HU values could effectively complement BMD assessment, particularly in DISH patients or those with advanced lumbar degeneration. (Source: Osteoporosis International)
Source: Osteoporosis International - December 27, 2023 Category: Orthopaedics Source Type: research

A neural network model for detection and classification of lumbar spinal stenosis on MRI
ConclusionsThe CNN showed comparable performance to radiologist subspecialists for the detection and classification of LSS. The integration of neural network models in the detection of LSS could bring higher accuracy, efficiency, consistency, and post-hoc interpretability in diagnostic practices. (Source: European Spine Journal)
Source: European Spine Journal - December 27, 2023 Category: Orthopaedics Source Type: research

Utility of MRI-based vertebral bone quality scores and CT-based Hounsfield unit values in vertebral bone mineral density assessment for patients with diffuse idiopathic skeletal hyperostosis
ConclusionDXA-based T-scores may overestimate BMD in DISH. VBQ scores and HU values could effectively complement BMD assessment, particularly in DISH patients or those with advanced lumbar degeneration. (Source: Osteoporosis International)
Source: Osteoporosis International - December 27, 2023 Category: Orthopaedics Source Type: research

Effect of Comprehensive and Integrative Medical Services on Patients with Degenerative Lumbar Spinal Stenosis: A Pilot Study
Conclusions: Patients with degenerative lumbar spinal stenosis who mainly complain of radiating pain in the lower leg may benefit from CIMS after spinal nerve root block for ≤3 months after treatment. Our study findings suggest that this treatment improves spinal function and Oswestry Disability Index score. However, CIMS did not improve QoL.PMID:38138269 | DOI:10.3390/medicina59122166 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - December 23, 2023 Category: Universities & Medical Training Authors: Sang Bong Ko Sang Gyu Kwak Source Type: research

Effect of Comprehensive and Integrative Medical Services on Patients with Degenerative Lumbar Spinal Stenosis: A Pilot Study
Conclusions: Patients with degenerative lumbar spinal stenosis who mainly complain of radiating pain in the lower leg may benefit from CIMS after spinal nerve root block for ≤3 months after treatment. Our study findings suggest that this treatment improves spinal function and Oswestry Disability Index score. However, CIMS did not improve QoL.PMID:38138269 | PMC:PMC10744891 | DOI:10.3390/medicina59122166 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - December 23, 2023 Category: Universities & Medical Training Authors: Sang Bong Ko Sang Gyu Kwak Source Type: research

Effect of Comprehensive and Integrative Medical Services on Patients with Degenerative Lumbar Spinal Stenosis: A Pilot Study
Conclusions: Patients with degenerative lumbar spinal stenosis who mainly complain of radiating pain in the lower leg may benefit from CIMS after spinal nerve root block for ≤3 months after treatment. Our study findings suggest that this treatment improves spinal function and Oswestry Disability Index score. However, CIMS did not improve QoL.PMID:38138269 | PMC:PMC10744891 | DOI:10.3390/medicina59122166 (Source: Medicina (Kaunas))
Source: Medicina (Kaunas) - December 23, 2023 Category: Universities & Medical Training Authors: Sang Bong Ko Sang Gyu Kwak Source Type: research